Veneica Gardner
Student in an Organized Health Care Education/Training Program in Crestwood, KY. Individual provider (NPI-1).
NPI number1982169405
StatusActive
Last updated in NPPESFeb 8, 2019
Details
- NPI
- 1982169405
- Entity type
- Individual (NPI-1)
- Name
- Veneica Gardner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2019
- Last updated
- Feb 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
9222 Foxtail CtCrestwood, KY 40014-8509
Phone 502-724-3374
Mailing address
9222 Foxtail CtCrestwood, KY 40014-8509
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